
Breaking Down "Floored": A Critical Analysis of Pelvic Floor Advice
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Dive into a thoughtful critique of "Floored," the bestselling pelvic floor health book by Dr. Sarah Reardon (The Vagina Whisperer). This episode unpacks both the groundbreaking achievements and potential shortcomings of this influential text that's reshaping how we talk about pelvic health.
As a pelvic floor physical therapist and researcher, I offer a balanced assessment of how this book succeeds brilliantly in making pelvic floor conversations accessible and shame-free. The conversational tone and clear explanations of complex anatomy deserve significant praise, especially in the excellent chapters on sexual function and pain management.
However, I challenge several recommendations around posture and exercise that don't align with current evidence. Claims suggesting crossing your legs or specific sleeping positions cause dysfunction aren't supported by research. Similarly, the advice to "always Kegel during resistance training" and "always exhale during exertion" oversimplifies the complex, integrated nature of how our bodies naturally function during movement.
Most concerning are statements suggesting women can cause "permanent pelvic floor dysfunction" by returning to exercise "too soon" after birth - language that inadvertently blames mothers for symptoms largely determined by genetics and birth trauma. These symptoms are expected parts of recovery, not indicators of failure.
Whether you've read the book or are curious about pelvic health, this episode offers valuable context for understanding how we can empower rather than frighten women with health information. Let's celebrate progress while continuing to evolve our understanding based on the best available evidence.
What pelvic health books or resources have you found most helpful? Share your thoughts and join the conversation about evidence-based approaches to women's health.
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